| Doctor Name: | DR. DANIEL JEZZARD MILLER |
| NPI Number: | 1790965382 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 42990 |
| Business Practice Address: | 326 Blount St Jonesborough, TN - 376591372 |
| Business Phone Number: | 8653854713 |
| Business Fax Number: | |
| Mailing Address: | Po Box 295, JONESBOROUGH |
| State: | TN |
| Postal Code: | 376590295 |
| Phone Number: | 8653854713 |
| Fax Number: | |
| NPI Enumeration Date: | 11/12/2007 |
| NPI Last Update Date: | 11/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 42990 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |